Provider Demographics
NPI:1477797272
Name:GALINA SHULMAN
Entity Type:Organization
Organization Name:GALINA SHULMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPY ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTA
Authorized Official - Phone:718-859-9351
Mailing Address - Street 1:1013 AVENUE J
Mailing Address - Street 2:# E1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3540
Mailing Address - Country:US
Mailing Address - Phone:718-859-9351
Mailing Address - Fax:718-859-9351
Practice Address - Street 1:1013 AVENUE J
Practice Address - Street 2:# E1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3540
Practice Address - Country:US
Practice Address - Phone:718-859-9351
Practice Address - Fax:718-859-9351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006778225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty